Current status of regional school health work in Tianjin during 2019-2023
Objective To explore the current status and progress of regional school health work to provide policy reference for school health improvement.Methods Survey data on school health work in Tianjin from 2019,2021 and 2023 was used.School health staff allocation and expenditure of the health administrative department,CDC and education department,as well as the annu-al implementation of health education,prevention and control of common diseases and infectious diseases,sports activities and food nutrition in primary and secondary schools were analyzed.Statistical analysis was conducted using Kruskal-Wallis test,Chi-square test,and Fisher's exact test.Results The number of school health staff in the health commissions and education departments from 2019,2021 and 2023 was relatively stable.Part-time staffs were often employed by health commissions while full-time staffs were mainly employed by education departments.The number of school health staff at CDCs increased gradually(H=12.65,P＜0.01).School health expenditure of administrative departments and schools in 2021 and 2023 increased significantly compared with that in 2019(H=22.28,23.75,P＜0.05).More than 95％of schools set up clinics or health care rooms,and about 97％of schools had school health technicians or health teachers.More than 90％of schools had health education courses over 4 hours per semester.The rate of mental health education increased by year(86.87％,89.91％,96.30％,Z=2.40,P＜0.05).Lack of courses regarded safety emergency and risk avoidance,growth and development,and adolescent health education.The provision rate of psychological coun-seling services(89.00％,97.25％,100.00％)and psychological problem prevention and control(56.12％,71.56％,81.48％)also increased by year(Z=3.83,3.96,P＜0.01).The implementation rates of prevention and control of poor vision,dental caries,over-weight and obesity were all higher than 80％,and the prevention and control rate of abnormal spinal curvature showed an increasing trend(38.78％,77.06％,72.22％,Z=4.87,P＜0.01).More than 90％of schools met the standard for physical education class hours,and the proportion of schools conducting at least 30 minutes of recess physical activities every day increased year by year(65.00％,80.73％,85.98％,Z=3.59,P＜0.01).All schools did not have shops.Conclusions School health work in Tianjin is effective and constantly developing.It is necessary to continue to increase the investment of human resources and expenditure in school health,explore the approaches of co-occurrence and prevention of common diseases,and improve the school sports and nutri-tion environment.
Public healthDelivery of health careOrganization and administrationStudent health services
NETL
NSTL
万方数据
